Provider Demographics
NPI:1518993740
Name:BUCHANAN, JAMES M JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:BUCHANAN
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:126 STATE ST APT 7
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3867
Mailing Address - Country:US
Mailing Address - Phone:603-617-8818
Mailing Address - Fax:
Practice Address - Street 1:1003 OLDE WATERFORD WAY STE 1A
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-4168
Practice Address - Country:US
Practice Address - Phone:910-371-3700
Practice Address - Fax:910-371-3720
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2013-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD127801223S0112X
NH035841223S0112X, 204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery